Provider Demographics
NPI:1528000452
Name:WRIGHT, CHRISTOPHER CHAMBERLAIN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CHAMBERLAIN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT STE 212
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4536
Mailing Address - Country:US
Mailing Address - Phone:864-797-6303
Mailing Address - Fax:
Practice Address - Street 1:890 W FARIS RD
Practice Address - Street 2:SUITE 550
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4253
Practice Address - Country:US
Practice Address - Phone:864-455-6800
Practice Address - Fax:864-455-6825
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17964208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00038906OtherRR MEDICARE
SC179648Medicaid
SC576007863100OtherBCBS OF SC ID
SC5178091OtherAETNA ID
SC7385002OtherCIGNA ID
SC576007863100OtherBCBS OF SC ID
SC179648Medicaid
SCG058313640Medicare PIN